Medicare for Higher Income

2026 Medicare Costs + Coverage Updates

The Centers for Medicare & Medicaid Services (CMS) have released the Medicare costs and coverage information for 2024.

PART A - COSTS


PART A (Hospital) Premium

Most people don't pay a monthly premium for Part A.  If you do buy Part A, you'll pay up to $565 each month if you paid medicare taxes for less than 30 quarters. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $311.

PART A Deductible + Coinsurance

  • $1,736 deductible for each benefit period
  • Days 1-60: $0 coinsurance for each benefit period
  • Days 61-90: $434 coinsurance per day for each benefit period
  • Days 91 and beyond: $868 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime)
  • Beyond lifetime reserve days: all costs

PART B - COSTS


PART B (Medical) Premium

Those enrolled in Part B will pay at least the standard $202.90/mo premium (based on income).  Higher income earners will pay a Part B IRMAA (Income Related Monthly Adjustment Amount) in addition to the $202.90/mo standard premium.

PART B Deductible + Coinsurance

  • $283 deductible per year
  • After your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services, outpatient therapy, and durable medical equipment (DME)


Part B Income-Related Adjustments

If your MAGI (Modified Adjusted Gross Income*) in 2024 was…

File Individual Tax Return

File Joint Tax Return

File Married + Separate Tax Return

What You Pay to Medicare (per person) Each Month in 2026 (Part B premium + IRMAA)

$109,000 or less

$218,000 or less

$109,000 or less

$202.90

$109,001 to $137,000


$218,001 to $247,000

Not applicable

$284.10

(202.90 + 81.20)

$137,001 to $171,000


$274,001 to $342,000

Not applicable

$405.80

(185.00 + 185.00)

$171,001 to $205,000


$342,001 to $410,000


Not applicable

$527.50

(202.90+ 324.60)

$205,001 to $499,999


$410,001 to $749,999

$109,001 to $390,999

$649.20

(202.90+ 446.30)

$500,000 +


$750,000 +

$391,000 +

$689.90

(202.90 + 487.00)


PART D - COSTS

Higher income earners who are enrolled in Part D Prescription Drug coverage also pay a Part D IRMAA in addition to the monthly insurance premium for a Part D prescription drug plan or Medicare Advantage plan that includes Part D coverage (see table below).

Part D Income Related Adjustments

If your MAGI (Modified Adjusted Gross Income*) in 2023 was…

File Individual Tax Return

File Joint Tax Return

File Married + Separate Tax Return

What You Pay To Medicare (per person) Each Month in 2024

$109,000 or less
$218,000 or less$109,000 or lessyour plan premium
$109,001 to $137,000$218,001 to $274,000Not applicable$14.50 + your plan premium
$137,001 to $171,000$274,001 to $342,000Not applicable$37.50 + your plan premium
$171,001 to $205,000$342,001 to $410,000Not applicable$60.40 + your plan premium
$205,001 to $499,999$410,001 to $749,999$109,001 to  $390,999$83.30 + your plan premium
$500,000 +$750,000 +$391,000 +$91.00 + your plan premium
Money Saving Tip:

Money Saving Tip:

If a retiree's current income is lower than the most-recent tax return, they may be eligible to appeal a Medicare premium surcharge — but only if the income drop is the due to specific life-changing events such as death of a spouse, divorce, marriage or retirement. If that is the case, clients should immediately respond to the premium surcharge notice, known as an income-related monthly adjustment amount (IRMAA) letter they receive in the fall, and follow the instructions on how to appeal the surcharge.